Most Relevant Information
Provider Data
| NPI Number: | 1003181181 |
| Provider Name: | CECILIA JAMIESON RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 808880 |
Most Important Dates
| Enumeration Date: | 03/21/2012 |
| Last Updated: | 12/04/2020 |
Provider Practice Location
1106 E PROSPECT RD STE 100
FORT COLLINS
CO
805255304
Practice Location Phone/Fax
| Phone: | 9702243636 |
| Fax: | 9702243637 |
Provider Mailing Location
1106 E PROSPECT RD STE 100
FORT COLLINS
CO
805255304
Provider Mailing Phone/Fax
| Phone: | 9702243636 |
| Fax: | 9702243637 |